The challenge of vaccinating adults: attitudes and beliefs of the Canadian public and healthcare providers.
Identifieur interne : 000189 ( Main/Exploration ); précédent : 000188; suivant : 000190The challenge of vaccinating adults: attitudes and beliefs of the Canadian public and healthcare providers.
Auteurs : D M Macdougall [Canada] ; B A Halperin [Canada] ; D. Mackinnon-Cameron [Canada] ; Li Li [Canada] ; S A Mcneil [Canada] ; J M Langley [Canada] ; S A Halperin [Canada]Source :
- BMJ open [ 2044-6055 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Attitude du personnel soignant (MeSH), Canada (MeSH), Connaissances, attitudes et pratiques en santé (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Groupes de discussion (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Sujet âgé (MeSH), Vaccin diphtérie-tétanos-coqueluche (MeSH), Vaccination (psychologie), Vaccins antigrippaux (MeSH), Vaccins antipneumococciques (MeSH), Vaccins contre les herpèsvirus (MeSH).
- MESH :
- psychologie : Vaccination.
- Adulte, Adulte d'âge moyen, Attitude du personnel soignant, Canada, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Femelle, Groupes de discussion, Humains, Jeune adulte, Mâle, Sujet âgé, Vaccin diphtérie-tétanos-coqueluche, Vaccins antigrippaux, Vaccins antipneumococciques, Vaccins contre les herpèsvirus.
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Attitude of Health Personnel (MeSH), Canada (MeSH), Diphtheria-Tetanus-Pertussis Vaccine (MeSH), Female (MeSH), Focus Groups (MeSH), Health Knowledge, Attitudes, Practice (MeSH), Herpesvirus Vaccines (MeSH), Humans (MeSH), Influenza Vaccines (MeSH), Male (MeSH), Middle Aged (MeSH), Pneumococcal Vaccines (MeSH), Surveys and Questionnaires (MeSH), Vaccination (psychology), Young Adult (MeSH).
- MESH :
- chemical : Diphtheria-Tetanus-Pertussis Vaccine, Herpesvirus Vaccines, Influenza Vaccines, Pneumococcal Vaccines.
- geographic : Canada.
- psychology : Vaccination.
- Adult, Aged, Attitude of Health Personnel, Female, Focus Groups, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Surveys and Questionnaires, Young Adult.
Abstract
OBJECTIVES
Vaccine coverage for recommended vaccines is low among adults. The objective of this study was to assess the knowledge, attitudes, beliefs and behaviours of adults and healthcare providers related to four vaccine-preventable diseases and vaccines (diphtheria-tetanus-pertussis, zoster, pneumococcus and influenza).
DESIGN
We undertook a survey and focus groups of Canadian adults and healthcare providers (doctors, nurses, pharmacists). A total of 4023 adults completed the survey and 62 participated in the focus groups; 1167 providers completed the survey and 45 participated in the focus groups.
RESULTS
Only 46.3% of adults thought they were up-to-date on their vaccines; 30% did not know. In contrast, 75.6% of providers reported being up-to-date. Only 57.5% of adults thought it was important to receive all recommended vaccines (compared to 87.1-91.5% of providers). Positive attitudes towards vaccines paralleled concern about the burden of illness and confidence in the vaccines, with providers being more aware of disease burden and confident in vaccine effectiveness than the public. Between 55.0% and 59.7% of adults reported willingness to be vaccinated if recommended by their healthcare provider. However, such recommendations were variable; while 77.4% of the public reported being offered and 52.8% reported being recommended the influenza vaccine by their provider, only 10.8% were offered and 5.6% recommended pertussis vaccine. Barriers and facilitators to improved vaccine coverage in adults, such as trust-mistrust of health authorities, pharmaceutical companies and national recommendations, autonomy versus the public good and logistical issues (such as insufficient time and lack of vaccination status tracking), were identified by both the public and providers.
CONCLUSIONS
Despite guidelines for adult vaccination, there are substantial gaps in knowledge and attitudes and beliefs among both the public and healthcare providers that lead to low vaccine coverage. A systematic approach that involves education, elimination of barriers and establishing and improving infrastructure for adult immunisation is required.
DOI: 10.1136/bmjopen-2015-009062
PubMed: 26419683
PubMed Central: PMC4593142
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The challenge of vaccinating adults: attitudes and beliefs of the Canadian public and healthcare providers.</title><author><name sortKey="Macdougall, D M" sort="Macdougall, D M" uniqKey="Macdougall D" first="D M" last="Macdougall">D M Macdougall</name><affiliation wicri:level="1"><nlm:affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada School of Nursing, St. Francis Xavier University, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada School of Nursing, St. Francis Xavier University, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author><author><name sortKey="Halperin, B A" sort="Halperin, B A" uniqKey="Halperin B" first="B A" last="Halperin">B A Halperin</name><affiliation wicri:level="1"><nlm:affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada School of Nursing, Dalhousie University, Nova Scotia, Canada Department of Pediatrics, Dalhousie University, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada School of Nursing, Dalhousie University, Nova Scotia, Canada Department of Pediatrics, Dalhousie University, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author><author><name sortKey="Mackinnon Cameron, D" sort="Mackinnon Cameron, D" uniqKey="Mackinnon Cameron D" first="D" last="Mackinnon-Cameron">D. Mackinnon-Cameron</name><affiliation wicri:level="1"><nlm:affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author><author><name sortKey="Li, Li" sort="Li, Li" uniqKey="Li L" first="Li" last="Li">Li Li</name><affiliation wicri:level="1"><nlm:affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author><author><name sortKey="Mcneil, S A" sort="Mcneil, S A" uniqKey="Mcneil S" first="S A" last="Mcneil">S A Mcneil</name><affiliation wicri:level="1"><nlm:affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada Department of Medicine, Dalhousie University, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada Department of Medicine, Dalhousie University, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author><author><name sortKey="Langley, J M" sort="Langley, J M" uniqKey="Langley J" first="J M" last="Langley">J M Langley</name><affiliation wicri:level="1"><nlm:affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada Department of Pediatrics, Dalhousie University, Nova Scotia, Canada Department of Community Health and Epidemiology, Dalhousie University, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada Department of Pediatrics, Dalhousie University, Nova Scotia, Canada Department of Community Health and Epidemiology, Dalhousie University, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author><author><name sortKey="Halperin, S A" sort="Halperin, S A" uniqKey="Halperin S" first="S A" last="Halperin">S A Halperin</name><affiliation wicri:level="1"><nlm:affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada Department of Pediatrics, Dalhousie University, Nova Scotia, Canada Department of Microbiology & Immunology, Dalhousie University, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada Department of Pediatrics, Dalhousie University, Nova Scotia, Canada Department of Microbiology & Immunology, Dalhousie University, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26419683</idno><idno type="pmid">26419683</idno><idno type="doi">10.1136/bmjopen-2015-009062</idno><idno type="pmc">PMC4593142</idno><idno type="wicri:Area/Main/Corpus">000186</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000186</idno><idno type="wicri:Area/Main/Curation">000186</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000186</idno><idno type="wicri:Area/Main/Exploration">000186</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The challenge of vaccinating adults: attitudes and beliefs of the Canadian public and healthcare providers.</title><author><name sortKey="Macdougall, D M" sort="Macdougall, D M" uniqKey="Macdougall D" first="D M" last="Macdougall">D M Macdougall</name><affiliation wicri:level="1"><nlm:affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada School of Nursing, St. Francis Xavier University, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada School of Nursing, St. Francis Xavier University, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author><author><name sortKey="Halperin, B A" sort="Halperin, B A" uniqKey="Halperin B" first="B A" last="Halperin">B A Halperin</name><affiliation wicri:level="1"><nlm:affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada School of Nursing, Dalhousie University, Nova Scotia, Canada Department of Pediatrics, Dalhousie University, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada School of Nursing, Dalhousie University, Nova Scotia, Canada Department of Pediatrics, Dalhousie University, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author><author><name sortKey="Mackinnon Cameron, D" sort="Mackinnon Cameron, D" uniqKey="Mackinnon Cameron D" first="D" last="Mackinnon-Cameron">D. Mackinnon-Cameron</name><affiliation wicri:level="1"><nlm:affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author><author><name sortKey="Li, Li" sort="Li, Li" uniqKey="Li L" first="Li" last="Li">Li Li</name><affiliation wicri:level="1"><nlm:affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author><author><name sortKey="Mcneil, S A" sort="Mcneil, S A" uniqKey="Mcneil S" first="S A" last="Mcneil">S A Mcneil</name><affiliation wicri:level="1"><nlm:affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada Department of Medicine, Dalhousie University, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada Department of Medicine, Dalhousie University, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author><author><name sortKey="Langley, J M" sort="Langley, J M" uniqKey="Langley J" first="J M" last="Langley">J M Langley</name><affiliation wicri:level="1"><nlm:affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada Department of Pediatrics, Dalhousie University, Nova Scotia, Canada Department of Community Health and Epidemiology, Dalhousie University, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada Department of Pediatrics, Dalhousie University, Nova Scotia, Canada Department of Community Health and Epidemiology, Dalhousie University, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author><author><name sortKey="Halperin, S A" sort="Halperin, S A" uniqKey="Halperin S" first="S A" last="Halperin">S A Halperin</name><affiliation wicri:level="1"><nlm:affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada Department of Pediatrics, Dalhousie University, Nova Scotia, Canada Department of Microbiology & Immunology, Dalhousie University, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada Department of Pediatrics, Dalhousie University, Nova Scotia, Canada Department of Microbiology & Immunology, Dalhousie University, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMJ open</title><idno type="eISSN">2044-6055</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Attitude of Health Personnel (MeSH)</term><term>Canada (MeSH)</term><term>Diphtheria-Tetanus-Pertussis Vaccine (MeSH)</term><term>Female (MeSH)</term><term>Focus Groups (MeSH)</term><term>Health Knowledge, Attitudes, Practice (MeSH)</term><term>Herpesvirus Vaccines (MeSH)</term><term>Humans (MeSH)</term><term>Influenza Vaccines (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pneumococcal Vaccines (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Vaccination (psychology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Attitude du personnel soignant (MeSH)</term><term>Canada (MeSH)</term><term>Connaissances, attitudes et pratiques en santé (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Groupes de discussion (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Vaccin diphtérie-tétanos-coqueluche (MeSH)</term><term>Vaccination (psychologie)</term><term>Vaccins antigrippaux (MeSH)</term><term>Vaccins antipneumococciques (MeSH)</term><term>Vaccins contre les herpèsvirus (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Diphtheria-Tetanus-Pertussis Vaccine</term><term>Herpesvirus Vaccines</term><term>Influenza Vaccines</term><term>Pneumococcal Vaccines</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Attitude of Health Personnel</term><term>Female</term><term>Focus Groups</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude du personnel soignant</term><term>Canada</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Groupes de discussion</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Sujet âgé</term><term>Vaccin diphtérie-tétanos-coqueluche</term><term>Vaccins antigrippaux</term><term>Vaccins antipneumococciques</term><term>Vaccins contre les herpèsvirus</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>Vaccine coverage for recommended vaccines is low among adults. The objective of this study was to assess the knowledge, attitudes, beliefs and behaviours of adults and healthcare providers related to four vaccine-preventable diseases and vaccines (diphtheria-tetanus-pertussis, zoster, pneumococcus and influenza).</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>We undertook a survey and focus groups of Canadian adults and healthcare providers (doctors, nurses, pharmacists). A total of 4023 adults completed the survey and 62 participated in the focus groups; 1167 providers completed the survey and 45 participated in the focus groups.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Only 46.3% of adults thought they were up-to-date on their vaccines; 30% did not know. In contrast, 75.6% of providers reported being up-to-date. Only 57.5% of adults thought it was important to receive all recommended vaccines (compared to 87.1-91.5% of providers). Positive attitudes towards vaccines paralleled concern about the burden of illness and confidence in the vaccines, with providers being more aware of disease burden and confident in vaccine effectiveness than the public. Between 55.0% and 59.7% of adults reported willingness to be vaccinated if recommended by their healthcare provider. However, such recommendations were variable; while 77.4% of the public reported being offered and 52.8% reported being recommended the influenza vaccine by their provider, only 10.8% were offered and 5.6% recommended pertussis vaccine. Barriers and facilitators to improved vaccine coverage in adults, such as trust-mistrust of health authorities, pharmaceutical companies and national recommendations, autonomy versus the public good and logistical issues (such as insufficient time and lack of vaccination status tracking), were identified by both the public and providers.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Despite guidelines for adult vaccination, there are substantial gaps in knowledge and attitudes and beliefs among both the public and healthcare providers that lead to low vaccine coverage. A systematic approach that involves education, elimination of barriers and establishing and improving infrastructure for adult immunisation is required.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26419683</PMID><DateCompleted><Year>2016</Year><Month>06</Month><Day>23</Day></DateCompleted><DateRevised><Year>2019</Year><Month>02</Month><Day>02</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2044-6055</ISSN><JournalIssue CitedMedium="Internet"><Volume>5</Volume><Issue>9</Issue><PubDate><Year>2015</Year><Month>Sep</Month><Day>29</Day></PubDate></JournalIssue><Title>BMJ open</Title><ISOAbbreviation>BMJ Open</ISOAbbreviation></Journal><ArticleTitle>The challenge of vaccinating adults: attitudes and beliefs of the Canadian public and healthcare providers.</ArticleTitle><Pagination><MedlinePgn>e009062</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1136/bmjopen-2015-009062</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Vaccine coverage for recommended vaccines is low among adults. The objective of this study was to assess the knowledge, attitudes, beliefs and behaviours of adults and healthcare providers related to four vaccine-preventable diseases and vaccines (diphtheria-tetanus-pertussis, zoster, pneumococcus and influenza).</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">We undertook a survey and focus groups of Canadian adults and healthcare providers (doctors, nurses, pharmacists). A total of 4023 adults completed the survey and 62 participated in the focus groups; 1167 providers completed the survey and 45 participated in the focus groups.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Only 46.3% of adults thought they were up-to-date on their vaccines; 30% did not know. In contrast, 75.6% of providers reported being up-to-date. Only 57.5% of adults thought it was important to receive all recommended vaccines (compared to 87.1-91.5% of providers). Positive attitudes towards vaccines paralleled concern about the burden of illness and confidence in the vaccines, with providers being more aware of disease burden and confident in vaccine effectiveness than the public. Between 55.0% and 59.7% of adults reported willingness to be vaccinated if recommended by their healthcare provider. However, such recommendations were variable; while 77.4% of the public reported being offered and 52.8% reported being recommended the influenza vaccine by their provider, only 10.8% were offered and 5.6% recommended pertussis vaccine. Barriers and facilitators to improved vaccine coverage in adults, such as trust-mistrust of health authorities, pharmaceutical companies and national recommendations, autonomy versus the public good and logistical issues (such as insufficient time and lack of vaccination status tracking), were identified by both the public and providers.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Despite guidelines for adult vaccination, there are substantial gaps in knowledge and attitudes and beliefs among both the public and healthcare providers that lead to low vaccine coverage. A systematic approach that involves education, elimination of barriers and establishing and improving infrastructure for adult immunisation is required.</AbstractText><CopyrightInformation>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>MacDougall</LastName><ForeName>D M</ForeName><Initials>DM</Initials><AffiliationInfo><Affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada School of Nursing, St. Francis Xavier University, Nova Scotia, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Halperin</LastName><ForeName>B A</ForeName><Initials>BA</Initials><AffiliationInfo><Affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada School of Nursing, Dalhousie University, Nova Scotia, Canada Department of Pediatrics, Dalhousie University, Nova Scotia, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>MacKinnon-Cameron</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Li</LastName><ForeName>Li</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McNeil</LastName><ForeName>S A</ForeName><Initials>SA</Initials><AffiliationInfo><Affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada Department of Medicine, Dalhousie University, Nova Scotia, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Langley</LastName><ForeName>J M</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada Department of Pediatrics, Dalhousie University, Nova Scotia, Canada Department of Community Health and Epidemiology, Dalhousie University, Nova Scotia, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Halperin</LastName><ForeName>S A</ForeName><Initials>SA</Initials><AffiliationInfo><Affiliation>Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre and Nova Scotia Health Authority, Nova Scotia, Canada Department of Pediatrics, Dalhousie University, Nova Scotia, Canada Department of Microbiology & Immunology, Dalhousie University, Nova Scotia, Canada.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>09</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMJ Open</MedlineTA><NlmUniqueID>101552874</NlmUniqueID><ISSNLinking>2044-6055</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015721">Diphtheria-Tetanus-Pertussis Vaccine</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D022283">Herpesvirus Vaccines</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D022242">Pneumococcal Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="Y">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N" Type="Geographic">Canada</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015721" MajorTopicYN="N">Diphtheria-Tetanus-Pertussis Vaccine</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017144" MajorTopicYN="N">Focus Groups</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D022283" MajorTopicYN="N">Herpesvirus Vaccines</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D022242" MajorTopicYN="N">Pneumococcal Vaccines</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">PUBLIC HEALTH</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>10</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>10</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>6</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26419683</ArticleId><ArticleId IdType="pii">bmjopen-2015-009062</ArticleId><ArticleId IdType="doi">10.1136/bmjopen-2015-009062</ArticleId><ArticleId IdType="pmc">PMC4593142</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>JAMA. 2001 Sep 26;286(12):1455-60</Citation><ArticleIdList><ArticleId IdType="pubmed">11572737</ArticleId></ArticleIdList></Reference><Reference><Citation>Prev Med. 2005 Feb;40(2):152-61</Citation><ArticleIdList><ArticleId IdType="pubmed">15533524</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Public Health. 2003 Apr;93(4):635-41</Citation><ArticleIdList><ArticleId IdType="pubmed">12660210</ArticleId></ArticleIdList></Reference><Reference><Citation>Acad Emerg Med. 2003 Jun;10(6):606-11</Citation><ArticleIdList><ArticleId IdType="pubmed">12782520</ArticleId></ArticleIdList></Reference><Reference><Citation>J Am Acad Nurse Pract. 2004 Sep;16(9):402-10</Citation><ArticleIdList><ArticleId IdType="pubmed">15495694</ArticleId></ArticleIdList></Reference><Reference><Citation>Eur J Epidemiol. 1994 Feb;10(1):63-8</Citation><ArticleIdList><ArticleId IdType="pubmed">7957793</ArticleId></ArticleIdList></Reference><Reference><Citation>Infect Control Hosp Epidemiol. 1995 Jul;16(7):412-5</Citation><ArticleIdList><ArticleId IdType="pubmed">7673647</ArticleId></ArticleIdList></Reference><Reference><Citation>Med Care. 1996 Sep;34(9):873-89</Citation><ArticleIdList><ArticleId IdType="pubmed">8792778</ArticleId></ArticleIdList></Reference><Reference><Citation>Infect Control Hosp Epidemiol. 1997 Mar;18(3):189-94</Citation><ArticleIdList><ArticleId IdType="pubmed">9090547</ArticleId></ArticleIdList></Reference><Reference><Citation>CMAJ. 2011 Feb 22;183(3):E143-4</Citation><ArticleIdList><ArticleId IdType="pubmed">21242267</ArticleId></ArticleIdList></Reference><Reference><Citation>Dan Med Bull. 2011 Dec;58(12):A4345</Citation><ArticleIdList><ArticleId IdType="pubmed">22142574</ArticleId></ArticleIdList></Reference><Reference><Citation>Public Health Rep. 2012 Jan-Feb;127 Suppl 1:1-42</Citation><ArticleIdList><ArticleId IdType="pubmed">22210957</ArticleId></ArticleIdList></Reference><Reference><Citation>Vaccine. 2013 Aug 20;31(37):3972-8</Citation><ArticleIdList><ArticleId IdType="pubmed">23777954</ArticleId></ArticleIdList></Reference><Reference><Citation>Expert Rev Vaccines. 2013 Aug;12(8):893-901</Citation><ArticleIdList><ArticleId IdType="pubmed">23944683</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Prev Med. 2006 Oct;31(4):281-5</Citation><ArticleIdList><ArticleId IdType="pubmed">16979451</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Health Behav. 2006 Nov-Dec;30(6):675-83</Citation><ArticleIdList><ArticleId IdType="pubmed">17096624</ArticleId></ArticleIdList></Reference><Reference><Citation>Int J Qual Health Care. 2007 Dec;19(6):349-57</Citation><ArticleIdList><ArticleId IdType="pubmed">17872937</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Med. 2008 Jul;121(7 Suppl 2):S28-35</Citation><ArticleIdList><ArticleId IdType="pubmed">18589065</ArticleId></ArticleIdList></Reference><Reference><Citation>BMC Health Serv Res. 2008;8:245</Citation><ArticleIdList><ArticleId IdType="pubmed">19046443</ArticleId></ArticleIdList></Reference><Reference><Citation>Health Commun. 2009 Jun;24(4):316-26</Citation><ArticleIdList><ArticleId IdType="pubmed">19499425</ArticleId></ArticleIdList></Reference><Reference><Citation>Tex Heart Inst J. 2009;36(6):546-52</Citation><ArticleIdList><ArticleId IdType="pubmed">20069079</ArticleId></ArticleIdList></Reference><Reference><Citation>Vaccine. 2010 Feb 3;28(5):1177-80</Citation><ArticleIdList><ArticleId IdType="pubmed">19945413</ArticleId></ArticleIdList></Reference><Reference><Citation>Expert Rev Vaccines. 2010 Mar;9(3 Suppl):11-4</Citation><ArticleIdList><ArticleId IdType="pubmed">20192712</ArticleId></ArticleIdList></Reference><Reference><Citation>Vaccine. 2010 Oct 18;28(44):7137-9</Citation><ArticleIdList><ArticleId IdType="pubmed">20937435</ArticleId></ArticleIdList></Reference><Reference><Citation>MMWR Recomm Rep. 2011 Jan 28;60(2):1-64</Citation><ArticleIdList><ArticleId IdType="pubmed">21293327</ArticleId></ArticleIdList></Reference><Reference><Citation>Infect Control Hosp Epidemiol. 2002 Oct;23(10):609-14</Citation><ArticleIdList><ArticleId IdType="pubmed">12400892</ArticleId></ArticleIdList></Reference><Reference><Citation>Hum Vaccin Immunother. 2013 Sep;9(9):1926-31</Citation><ArticleIdList><ArticleId IdType="pubmed">23782490</ArticleId></ArticleIdList></Reference><Reference><Citation>PLoS One. 2014;9(12):e113503</Citation><ArticleIdList><ArticleId IdType="pubmed">25490542</ArticleId></ArticleIdList></Reference><Reference><Citation>Vaccine. 2014 Dec 5;32(51):7000-4</Citation><ArticleIdList><ArticleId IdType="pubmed">25454869</ArticleId></ArticleIdList></Reference><Reference><Citation>MMWR Morb Mortal Wkly Rep. 2015 Feb 6;64(4):95-102</Citation><ArticleIdList><ArticleId IdType="pubmed">25654611</ArticleId></ArticleIdList></Reference><Reference><Citation>Hum Vaccin Immunother. 2015;11(1):150-5</Citation><ArticleIdList><ArticleId IdType="pubmed">25483533</ArticleId></ArticleIdList></Reference><Reference><Citation>Vaccine. 2015 Aug 14;33(34):4191-203</Citation><ArticleIdList><ArticleId IdType="pubmed">25896385</ArticleId></ArticleIdList></Reference><Reference><Citation>Hum Vaccin Immunother. 2015;11(9):2167-79</Citation><ArticleIdList><ArticleId IdType="pubmed">26090861</ArticleId></ArticleIdList></Reference><Reference><Citation>Infect Control Hosp Epidemiol. 1998 Jul;19(7):518-20</Citation><ArticleIdList><ArticleId IdType="pubmed">9702579</ArticleId></ArticleIdList></Reference><Reference><Citation>Jt Comm J Qual Improv. 1998 Dec;24(12):704-10</Citation><ArticleIdList><ArticleId IdType="pubmed">9868614</ArticleId></ArticleIdList></Reference><Reference><Citation>Vaccine. 2011 Feb 17;29(9):1850-4</Citation><ArticleIdList><ArticleId IdType="pubmed">21216314</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Macdougall, D M" sort="Macdougall, D M" uniqKey="Macdougall D" first="D M" last="Macdougall">D M Macdougall</name></noRegion><name sortKey="Halperin, B A" sort="Halperin, B A" uniqKey="Halperin B" first="B A" last="Halperin">B A Halperin</name><name sortKey="Halperin, S A" sort="Halperin, S A" uniqKey="Halperin S" first="S A" last="Halperin">S A Halperin</name><name sortKey="Langley, J M" sort="Langley, J M" uniqKey="Langley J" first="J M" last="Langley">J M Langley</name><name sortKey="Li, Li" sort="Li, Li" uniqKey="Li L" first="Li" last="Li">Li Li</name><name sortKey="Mackinnon Cameron, D" sort="Mackinnon Cameron, D" uniqKey="Mackinnon Cameron D" first="D" last="Mackinnon-Cameron">D. Mackinnon-Cameron</name><name sortKey="Mcneil, S A" sort="Mcneil, S A" uniqKey="Mcneil S" first="S A" last="Mcneil">S A Mcneil</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/GrippeCanadaV4/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000189 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000189 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= GrippeCanadaV4
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:26419683
|texte= The challenge of vaccinating adults: attitudes and beliefs of the Canadian public and healthcare providers.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:26419683" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a GrippeCanadaV4
| This area was generated with Dilib version V0.6.35. |  |